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CLINICAL TOOLS - hcmarketplace.com

CLINICAL . TOOLS . AND. FORMS. 1/8" Margin all around. The Printer will trim too the margin area. FOR LONG-TERM CARE. BARBARA ACELLO, MS, RN. 1 6/15/15 2:07 PM. CLINICAL . TOOLS . AND. FORMS. FOR LONG-TERM CARE. BARBARA ACELLO, MS, RN. CLINICAL TOOLS and Forms for Long-Term Care is published by HCPro, a division of BLR. Copyright 2015 HCPro All rights reserved. Printed in the United States of America. 5 4 3 2 1. ISBN: 978-1-55645-476-9. No part of this publication may be reproduced, in any form or by any means, without prior writ- ten consent of HCPro or the Copyright Clearance Center (978-750-8400). Please notify us imme- diately if you have received an unauthorized copy.

Active infection on Treatment . Check if Yes Methicillin-resistant Staphylococcus aureus (MRSA) Vancomycin-resistant Enterococcus (VRE) Clostridium difficile Acinetobacter, multidrug-resistant* E coli, Klebsiella, Proteus etc. w/Extended Spectrum B-Lactamase (ESBL)* Carbapenemase resistant Enterobacteriaceae (CRE)* Other:

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